HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit NumberA-J
RECE1Vr_:D AUG 02 1017
BUilding Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce.FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
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PERMIT APPLICATION FOR: To Select.from dropbox, click arrow at the end of line
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Property Tax lD#: Lot No.
Site Plan Name: %_�k C_-r— Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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AdclitionalworKtobe ertormea under this permit-check alflHat apply:
13HVAC U Gas Tank F]Gas Piping FIShutters I!fW—indows/Doors
Electric Plumbing E]Sprinklers FIGenerator 13 Roof Roof pitch
Total Sq. Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$(OL-tc� Utilities: Sewer Septic Building Height:
wy. 7 -"4
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Name Name.
LoWes:4, 0*ntpris, LLC
Add'ress- Company:
City: State: C Address:
Zip Code: City:-Cirla6d6" State:FL
Phone No. -17 2-3 -C., 77 2 Zip Code: 32878-1993 Fax:
E-Mail: Phone No. 407-393-9161
Fill in fee simple Title Holder on next page if different E-Mail: A:e�(A� y±2_4�
from the Owner listed above) State or County License:_CGC1508417
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'sig'.F•x, x ,s xyxw s-T.rrzaz.^ 2.Cr'A,.{F.", -„x-„-•�`��', � �S�'ry.. #t.. 3K�.: ,y's,�r`„�y,�a5e� mss.. �� � _gip �y
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DESIGNER/ENGINEER: Not ApplicableMORTGAGE COMPANY: DLNot Applicable
Name: Name: -
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: of Applicable BONDING COMPANY: of Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concur ncy review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and acces o uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commence ent I nay result in your paying twice for
improvements to your roperty. A Notice of Commencement mus be r corded a osted on the jobsite
before t e fIrt inspedo . If you intend to obtain financing, cons t wit lender r a attorney before
comme iork Or recOrding your Notice of Commencement.
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Signatureo Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er •
STATE O FLORIDA" STAT OF FLORIDA
COUNTY F ('f�'u+��-�- COU OF ORANGE
The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me
this ( o-day of &, 20 17--by this ay of &4 2017 by
PETER A CAFARO III PETER A CAFARO III
(Name of person ackno edging) (Name of person acknowledging)
$ignatu-rh of Notary Public-St to o Florida) (SiginaturotaFubTl-c-State of lorida)
Personally Known x OR Produced Identification Personally Known x @' r ced Identification
Type of IdentificationP 1d y _ Type of Identification Prod&ce xvft
• law” m
�l j FF 981647Commission No. FF sa164'/ i . Pl A 164y Commission No.
li -6jjF192b expires®�13 �209�104e
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS